facebook tracking Hip and femur procedures except major joint with complications cost in Utah: 10 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in Utah

What 10 hospitals in Utah charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $70,782 Hospital list price billed
Average payment $17,185 Medicare + patient + other payers
Medicare paid $14,336 Average per stay
State rank #23 of 50 1 = lowest average payment

Hospitals in Utah billed an average of $70,782 for hip and femur procedures except major joint with complications, about 4.1 times the average total payment of $17,185. That payment is 7% below the U.S. average of $18,473.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $17,185Billed $70,782

About 24¢ was paid for every $1 hospitals in Utah billed for this stay.

Utah hospitals: hip and femur procedures except major joint with complications

Every Utah hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
St. George Regional HospitalSt George 90 $52,352 $16,951 $14,730
Lds HospitalSalt Lake City 62 $67,527 $18,276 $14,786
Utah Valley Regional Medical CenterProvo 61 $77,343 $15,637 $13,523
McKay-Dee Hospital CenterOgden 54 $81,282 $16,953 $13,381
University Health Care/Univ Hospitals and ClinicsSalt Lake City 40 $62,113 $21,778 $16,778
St Marks HospitalSalt Lake City 21 $127,441 $15,065 $13,383
Ogden Regional Medical CenterOgden 16 $113,689 $15,486 $11,495
Logan Regional HospitalLogan 14 $63,592 $15,086 $13,570
Riverton HospitalRiverton 13 $56,102 $15,001 $13,745
Intermountain Health Cedar City HospitalCedar City 12 $42,040 $17,702 $16,342
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Lowest and highest payments in Utah

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Riverton HospitalRiverton, UT$15,001
St Marks HospitalSalt Lake City, UT$15,065
Logan Regional HospitalLogan, UT$15,086
Ogden Regional Medical CenterOgden, UT$15,486
Utah Valley Regional Medical CenterProvo, UT$15,637

Highest

University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$21,778
Lds HospitalSalt Lake City, UT$18,276
Intermountain Health Cedar City HospitalCedar City, UT$17,702
McKay-Dee Hospital CenterOgden, UT$16,953
St. George Regional HospitalSt George, UT$16,951

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in Utah?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 10 hospitals in Utah was billed at $70,782 on average, while the average total payment was $17,185, of which Medicare paid $14,336. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Utah, average charges were 4.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.